Unknown osteoporosis in older patients admitted to post-acute rehabilitation.

Details

Serval ID
serval:BIB_76B7EDC0F64E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Unknown osteoporosis in older patients admitted to post-acute rehabilitation.
Journal
Aging clinical and experimental research
Author(s)
Major K., Monod S., Bula C.J., Krief H., Hans D., Lamy O., Krieg M.A.
ISSN
1720-8319 (Electronic)
ISSN-L
1594-0667
Publication state
Published
Issued date
06/2020
Peer-reviewed
Oui
Volume
32
Number
6
Pages
1145-1152
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Osteoporotic fractures are associated with increased morbidity, mortality, and increased health care use. As the number of older adults increases, identifying those at increased risk for osteoporotic fractures has become of utmost importance to providing them with preventive and therapeutic interventions.
To determine the prevalence of unknown clinical and densitometric osteoporosis and to investigate the performance of different diagnostic strategies for osteoporosis in elderly patients admitted to rehabilitation.
This is an observational study. Eligible participants were older adults admitted to rehabilitation in an academic hospital in Switzerland over an 11-month period. Patients with previously unknown osteoporosis underwent dual-energy X-ray absorptiometry (DXA), vertebral fracture assessment (VFA), and history review for past fractures.
Complete assessment was available for 252 patients. Previously undiagnosed osteoporosis was identified in 62.3% of these patients, a proportion that was higher among women (71.5%) than men (44.8%). DXA proved most sensitive, followed by VFA and history review. Results differed across gender: DXA remained the most sensitive single test among women, but VFA proved most sensitive in men. The best test to combine with history review was DXA in women (detection increasing from 47.5 to 93.2%) and VFA in men (detection increasing from 35.9 to 84.6%).
Prevalence of previously unknown osteoporosis appears very high in elderly patients admitted to post-acute rehabilitation. The combination of history review of previous fractures with DXA in women and with VFA in men appears the best two-step strategy to improving detection of osteoporosis in this population.
Keywords
Older patients, Osteoporosis, Rehabilitation, Screening or diagnosis or detection
Pubmed
Create date
17/09/2019 16:32
Last modification date
13/06/2020 6:20
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